Update to the essential genomic nursing competencies and outcome indicators.

Introduction: Genomic healthcare applications have relevance to all healthcare professionals including nursing, and most evidence-based clinical applications impact the quality and safety of healthcare. To guide nursing genomic competency initiatives, the Essential Nursing Competencies and Curricula Guidelines for Genetics and Genomics were established through a process of consensus in 2005. A 2009 update incorporated outcome indicators consisting of specific areas of knowledge and clinical performance indicators, to help support academic integration.

Trends in mental health indicators among nurses participating in healthy nurse, healthy nation from 2017 to 2021.

Background: American healthcare workers face unprecedented stress and trauma in the workplace during COVID-19, putting nurses at increased risk for poor mental health. Examining trends of mental health from before and during COVID-19 can illuminate the toll of the pandemic on nurses well-being.

Methods: Nurses enrolled in Healthy Nurse, Healthy Nation receive a prompt to take an annual survey (n = 24,289).

The association between perceived electronic health record usability and professional burnout among US nurses.

Objectives: To measure nurse-perceived electronic health records (EHR) usability with a standardized metric of technology usability and evaluate its association with professional burnout.

Methods: A cross-sectional survey of a random sample of US nurses was conducted in November 2017. EHR usability was measured with the System Usability Scale (SUS; range 0-100) and burnout with the Maslach Burnout Inventory.

The US COVID-19 crises: facts, science and solidarity.

The United States leads the world in COVID-19 cases and deaths. The government's poorly coordinated response has lacked national mandates, failed to deploy adequate personal protective equipment, supplies and testing and devalued advice of science experts. COVID-19 exposed racial disparities in health care and as protests against racial injustice erupted, nurses have responded to the call to confront racism as a public health crisis.

Relationship Between Burnout and Professional Behaviors and Beliefs Among US Nurses.

Objective: To evaluate the relationship between burnout and professional behaviors and beliefs among US nurses.

Methods: We used data from 2256 nurses who completed a survey that included the Maslach Burnout Inventory and items exploring their professional conduct (documented something they had not done so they could "close out" an encounter in the EHR or part of the assessment not completed, requested continuing education credit for an activity not attended) and beliefs about reporting impaired colleagues.

Results: On multivariable analysis, burnout was independently associated with higher odds of reporting 1 or more unprofessional behaviors in the last year and not believing nurses have a duty to report impairment among colleagues due to substance use or mental health problems.

Original Research: An Investigation of Career Choice Regret Among American Nurses.

Purpose: To explore whether burnout is an independent predictor of career choice regret among nurses.

Methods: In November 2017 we invited a random sample of 89,995 members of the American Nurses Association to participate in an anonymous online survey. The survey collected demographic and professional information and included the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (known as the MBI-HSS [MP]), as well as several items exploring career choice regret.

Burnout and Satisfaction With Work-Life Integration Among Nurses.

Objectives: To evaluate characteristics associated with burnout and satisfaction with work-life integration (WLI) among nurses and compare their experience to other American workers.

Methods: We used data from 8638 nurses and 5198 workers to evaluate factors associated with burnout and satisfaction with WLI, and compare nurses to workers in other fields.

Results: In the multivariable analysis, demographics, work hours, and highest academic degree obtained related to nursing were independent predictors of burnout.

Effects of life history and reproduction on recruitment time lags in reintroductions of rare plants.

Reintroductions are important components of conservation and recovery programs for rare plant species, but their long-term success rates are poorly understood. Previous reviews of plant reintroductions focused on short-term (e.g.

Radiation-Induced Breast Angiosarcoma: Case Report and Clinical Approach.

Importance: Radiation-induced angiosarcoma after conservative treatment of breast cancer affects a small percentage of patients but has a significant impact on survival. Early detection requires a high index of suspicion and is important for optimal management of this aggressive disease.

Observations: The patient reported here presented with radiation-induced angiosarcoma of the left breast 14 years after radiation therapy.

Development and characterization of microsatellite loci for the endangered scrub lupine, Lupinus aridorum (Fabaceae).

Premise Of The Study: Microsatellite primers were developed in scrub lupine (Lupinus aridorum, Fabaceae), an endemic species to Florida that is listed as endangered in the United States, to assess connectivity among populations, identify hybrids, and examine genetic diversity.

Methods And Results: We isolated and characterized 12 microsatellite loci polymorphic in scrub lupine or in closely related species (i.e.

Parent genotype and environmental factors influence introduction success of the critically endangered Savannas Mint (Dicerandra immaculata var. savannarum).

Species previously unknown to science are continually discovered and some of these species already face extinction at the time of their discovery. Conserving new and rare species in these cases becomes a trial-and-error process and conservationists will attempt to manage them by using knowledge of closely related species, or those that fill the same ecological niche, and then adapting the management program as needed. Savannas Mint (Dicerandra immaculata Lakela var.

ANA principles: the framework for nurse staffing to positively impact outcomes.

ANA's Principles for Nurse Staffing, Second Edition, does not offer the sole methodology to planning and allocating nurse staffing, but does explain the myriad of factors that must be taken into account in order to achieve a successful plan. It is a compass for navigating those "natural forces" that can foil even the best staffing plans. As delivery systems evolve towards better care, so too must the attitudes towards nurse staffing.

Probability of survival based on etiology of cardiopulmonary arrest in pediatric patients.

Objective: To aggregate data across institutions to identify, characterize, and differentiate potential survivors from nonsurvivors based on etiology of event.

Aim: To evaluate the association of the cardiopulmonary resuscitation (CPR) duration and probability of survival (Ps), stratified by etiology of arrest.

Background: In-hospital cardiac arrests occur in 2-6% of pediatric patients with poor survival rates resulting in significant expenditures of time and resources.

The patient lock model©: a continuum of care.

Nursing as a profession has the responsibility to society to protect and promote the health of individuals and communities. The intent of this conceptual model is to center the patient in his or her environment while allowing qualified, expert health professionals to provide timely, effective, cost-efficient care within their levels of competence and expertise. Significant shortages of registered nurses and other health professionals delay timely provision of quality care and affect the effectiveness of care.

Adapting standards of care under extreme conditions.

The filing of criminal charges against a group of clinicians in New Orleans for failure to meet expected standards of care following the hurricanes of 2005 made the growing concern among health professionals about care provided during extreme emergencies or disasters all too real. Questions about what may lead to censure, penalties from licensing boards, or lawsuits have come from nurses, physicians, and many other licensed health professionals. A panel convened by the American Nurses Association that included representatives of medical, public health, hospital, and government agencies considered the ethical, professional, and practical aspects of meeting standards of care in such circumstances.

Be safe, be prepared: emergency system for advance registration of volunteer health professionals in disaster response.

Following the September 11, 2001, incident in the United States (US) and subsequent natural disasters, the US, like other countries, has focused on improving its overall disaster response capabilities. One mechanism that is under development to improve the country's surge capacity, i.e.

Phase I/II trial of melanoma patient-specific vaccine of proliferating autologous tumor cells, dendritic cells, and GM-CSF: planned interim analysis.

Aim: The aim of this study was to investigate the feasibility, safety, and clinical efficacy of patient-specific dendritic cell vaccines in patients with metastatic melanoma. A planned interim analysis was conducted on the first 20 patients.

Methods: Tumor cell lines were established from metastatic tumor, expanded to 200 million cells, and then incubated with interferon-gamma for patients who were candidates for therapy.

Phase I/II trial of autologous tumor cell line-derived vaccines for recurrent or metastatic sarcomas.

Aim: We previously reported the laboratory methodology for producing patient-specific irradiated autologous tumor-cell products derived from short-term cultured tumor cells. We attempted to determine the feasibility, safety, and clinical effects of autologous tumor vaccine-derived sarcomas.

Patients And Methods: Efforts were made to establish tumor cell lines in tissue culture with expansion to 100 million cells for patients who were candidates for therapy.